Solve this exciting clinical case, specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation: A 78-year-old man presented to the clinic with complaints of fever, painful glossitis, and abnormalities in taste that was persistent for one month. The patient had a history of end-stage renal disease, diabetes mellitus, and microscopic polyangiitis and was on glucocorticoid therapy.
Physical examination of the tongue showed a large, punched-out painful ulcer. Tongue biopsy revealed numerous neutrophils, lymphocytes, plasma cells, and large cells with cytoplasmic inclusions. *This case challenge is from the Docplexus Editorial team for an educative purpose only. Source : NEJM
